11742 SW TIEDEMAN AVENUE I
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INSPECTION NOTICE
City of Tigard Building DetAxtteent
13125 BO Ball Blvd. Tigard, Oregon 9'-223
Inspection Line (Rec-O-Rhone): 639-4175 Business Phone: 639-4171
Inspection:--_
�—"--_--�-_--
7
Mooting Pltg. Unders.lab Mech. Rough-ln Appr/edwlk
s
Found Plbg. Top Out Cae Line FINAL:
Post/Beam Struct. San. Sewer Framing <-LB1dq-D
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underflcxir Water L.Lne Gyp. Bd. -Neoh.
Date Requested: _ -Timet AN PN
Addroon:. / .�� ��' �� Permit is
r 0
Builder: L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
—_.--=�'�c/C*'7 v TL dr .�2?fir_.—�f�1 eC- 1�;�✓�._ /-�=-�'�7'
Inspectors_ Date:1/ �1� `�
—_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
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INSPEOTI'qz
City of Tigard Building Departuwnt '
13125 an mAll Blvd. Tigard, Oregon 9722.3
inspection Line (Rec-O-Phone): 639-4175 Business Phone: %39-4171
Inspection:.__
Footing Plbg Underalat Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. San. Sewer Framing
Post/beam Mech. Rain Drain Insulation -Pluatb.
Plbg. Underfloor water Line Gyp. Bd. -Meah.
Date RHqueetedt _ _Timet AN PM
Addrene:- l�,-� �Lu,J_ Permit te4y..2
Builder:
THE FOLLOWING OORRECTION6 ARE REQUIREDt
910
Inspectors _ Data:// T�
Tw APPROVED DItiAPPROVYP APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
W +I. ttr w w air wr .
�— - -----� �\� CERTIFICATE OF -
ClwlyOF T167A RD �y Agp PERMIT #OCCUP. . s
OCCUPANCY
COMMUNITY DEVELOPMENT DEPJAIRWENT MOON
13125 SW Nall HW. P.Q.Hox'23397,Tigard,Oregm 47223 (603)639.11'6 DATE 1 SSUED s 11/26/90
SITE ADDRESS. . . t 11742 51W TIE.DEMAN AVE PARCELS 1S135CC-00702
SUBDIVISION. . . . t ZONINGS
BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . t
CLASS OF WORK. sNEW
TYPE OF USE. . . tSF
OCCUPANCY URP. s R3
OCCUPANCY LOADtllb 4
TENANT NAME. . . t
Remart<s s
Owner:
11,AOT Z t•IANS
14565 S KIRK RD
OREGON CITY OR 97045-OOOQI
Phone 0: 503-•6:.32-•3846
Contract or s
HPNB K(lUTZ
14565 S K i RK RD
ORE 30N CITY OR 97045--0000
Phone its 503--632-3846
Reg il. . s :39903
Occupancy of the above refarenr_ad building is hereby givens and cer•tifien
the rompliance with tt;e State Of Oragon Spor_ialty Codes for the group,
occupancy, and use under which the referenced permit was issuad.
FIRE DEPARTMENT LDING TNSPIL_5TOR
BUI&S I NGOFW ICI4L
POST IN CONSPICUOUS PLACE
City of Tigard Building Departsent
13125 BM Ball Blvd_ Tigard, Oregon 97223
Inspection Linu (Rec-o-Phone): 4-41175 Business Phone: 539-4171
Inspect Lon: ."_ -! _ ---
Tooting g.PlbUndvlcelab Mech. Rough-ln `(fppr/Bdwlk
Pound. Plbg. Top Out Gas Line F1NAL:
Poet/beam St*vct. San. Sewer. Framing -Bldg.
Post/Beam Mec'.I. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested:_/ _._Times AH
Address: 1_ ! �/�G 11�' tmit fs ?__�
i
Builder:_. _
THE FOLLOWING MRRECTIONBMQU IRED:
Inspector: ALL / Date:__
,?S, APPROVED DISAPPRO D APPROVED SUBJECT TO ABOVE
Call For Roinsp.
NI SPBII NOTICE
City of Tigard Bulluing Department 4 (;
13125 SN Ball Blvd. Tigard, Oregon 97223
IneFection Line (Rec-O-Phone): 639-4175 eueiness Phone: 639-4171
Foo`ing PlEg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/;team Struct. San. Sewer Framing -Bldg.
Post"Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: ,—/ - Times —_AM PM
Addreus:1/ Permit
s
Ruilder:_
THE FOLIOWIN.: CORRECTIONS aR IREDs
j
Inspectors .� — --------_ -- Dates.lL
—APPROVED yC� DISAPPROVIKU i` APPROVED SUBJECT TO ABOVE
T_
0a!1 For Reinap.
KNUFAUS
INSPECTION 1\101ICE
City of Tigard Building Department
P.O. Box 23:197
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection
�I €
Date Requested Time A.M. Z € P.M.
Address 1/ Permit #Ct_Q-
Ownerr�.���.t1-- - _--� Lot
Builder —�– "—� —
The following Building Code deficiencies are requir3d to be corrected:
Presented to inkpproved
InspectorDisapproved
Date ---
CALL FOR RFINSPF,('710N
C7 YES �O
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View continents for selected item
66MASTER PERMITAAAAAAAAAAAA3AA5AAAAAAAAAAAAAAAAAAAAyAAAAAAAAAAAAA�`.aAAAAaAAAAAC
:MST90-0242: PROJECT:TIEDEMAN STAT'JS:I . UPD:09/28/90: :BLT: °
PERMTTTEE:KAOTZ HANS PRIM. . :MST90-0242: °
° SITE ADDRESS:11742 SW TIEDEMAN AVE
CA CASE HISTORY AAAAAAAAAAAAAAa66AaAAAAAReq/SentASchd/DuefiEnd/DoneAAByBStatAAAC
A705 Foci/found Tnap07/23%90 KS APP
A710 Poet/_aam Structural 6 7 �fa,�Px)
A711 Post./Beam Mechanical _a7 alll`�fy0 �JCp 07/24/90 KS DIS °
A711 Post/Bea.m Mechanir..al ,.f,Q ,�B/9Qp��._ _-,7/30/90 KS APP
A713 Crawl Dcai.n mom" °
A717 PLM/Underfloor 07/24/90 MS FAIL °
A717 PLM/Underf.loor 07/27/90 MS PASS °
A720 Mechanical InspCG
A722 Plumb Top Out 08/.15/90 MS FAIL °
A722 Plumb Top Out 06/16/90 )MS PASS °
A725 Framing Insp 08/24/90 GS DISS °
A726 Framing <REINSP> 08/24/90 GS APt °
A726 Framing <REINSP> I.. 08/28/90 GS ARP
A730 Fireplace Insp ti "�/a(,_ / / °
A735 Gas Line Insp r 08/17/90 KS APP °
AAAAAAAAAAAAAAAaAAAaAAAAAAAbAAAAaAAAAAAAAAAAt�•.zAAA�aaAAAAAAAHAaAaAAAAaAAAAAaAAi
HISTORY: VIEW UPDATE DELETE FSC
Delete selected item
OAMASTER PERMITAAAAAAAAAAAAAAAAAAAaAAA§AAAaAAAAAAAAAAAAAAAAAAaAAAAAAAASAAAAAAAC
:MST90-0242: PROJECT:TIEDEMAN STATUS:? UP0:09/7.8/90: :BLT: °
PERMITTEE:KAOTZ HANS PRIM. . :MST90-0242: °
SITE ADDRESS:11742 SW TIEDEMAN AVE °
OA CASE HISTORY AAAAA6AAAAA&AAhhhiihAAAAF:(-q/SentASchd/DueAE,.-'/1)oneAA[iy6Starti3A0
A740 Tnsu.lation Insp 08/2t/90 RLT PASS °
A745 Gyp Board Inap 09/04/90 KS DIS °
A745 Gyp Board Insp 09/06/90 KS APP
A755 Rain drain Insp 09/24/'90 MS PASS °
P760 Water Line Tnap 09/18/90 MS P..SS °
A765 Appr/Sdwlk Tnap 11/21/90 ('WV PASS °
A795 Mechanical Final 1f/of/4'0 k'5 14 Pa °
A797 Plumb Final 11/21/90 MS PASS °
A799 Building Final 1.1/26/90 KS APP "
aAAAASAAAAf�A�AbAAAA�iAAASA�AAAf�AAAAAAAfiaAfiAAAAAFi�.AAAAAAAAAASbAaASf.AAAS§AAAaAaAA i
INSPECTION NOTICE
City of Tigard Building DepartmPot /�f
P.O. Box 23397
Tigard, Oregon 97223
phhoone 639-4175
Type of Inspection_1//911''f
Date Requested
—
Time A.M.—/5,—f'.M.
Address
Owner Lot #
Builder e-
1
l he following Building Code deficiencies are required to be corrected:
Presented to
— —� -- Approved
Inspector
--
)"�-- ------_ Disapproved
Date
CALL FOR REINSPECTION
13 yes 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
/ Phone: 639-4175
Type of Insnection —
Date Requested_-- _ —CG - � ---__
Time— A.M. —P.M.
Address - � '�
'�L� -- Permit
Owner_ �4'((=- rfd - CJ 3a
--- _
BuilderOt] L
The following Building C6dede if ciencies are required to be corrected:
Presented to
CJ Approved
Inspector
---µ-.--_-____ ---— ---- ❑
Datebio_i_'�� G
pproved
CALL FOR REINSPECTION
I� YEI O `o
INSPECTION NOTICE
City of Tigard Building Department ��>>' .✓�
P O. Box 233EP7
Tigard, Oregon 97223
Phone. 639-4175
Type of Ins nctirn _.. —
Date Requesteri�/� ��D Time___..._. �� A.M. P.M.
Address _1.L2�/ . ^ "'l Permit
Owner__ Lot #
Builder The following Building Co deficiencies are required to be corrected?
Presented to Approved
Inspector Disapproved
Date "' �
CALL FOR REINSPECTION
❑ YES ❑ 140
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date F dquested Time A.M. P.M.
Address �� Permit # _
Owner -- Lot
Builder -_
The following Building C foieneiat are required to be correctau:
L;:�,A-1, w
Presented to Approved
r— .:
Inspector _ % ❑ Disapprcved
Date
CALL FOR REINSPECTION
❑ YFS U No
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APPLICATION STREET IMPROVEMENT/EXCAVATIONK' C PY TO:
J 9(WHITE)-FILE
ORDINANCE NO. 74-14 (YELLOW)-INSP. (
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY
(BLUE'-APPLICANT
APPROVED APPLICATION NO.: �dd�
NOT APPROVED [] CITY OF TIGARD, OREGON FEE AMT.: S
PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.:- GZg4,4,C
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY �V DATE s_
PENDING AGENCY "OK" ❑ Application and Progress Record S -
MAINTENANCE BOP(D --
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVAT'ON AS RE(JUIREU :PK. -
ANNUAI_ -,
PENDING VARIANCE ❑ EXPIRATION DATE:
PERMIT NO.: w �-La' Gl(7
DATE ISSUED. _.._1—L= .1�.5-�_. BY: ---- _�
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ - I
S DESCRIBED HEREIN, IN FULL. ACCORDANCE WITH CITY REQUIREMENTS.
n
APPLICANT . 0 +a ETZJ8
NAME ADA;:
PHO14
CONTRACTOR _ A cl r 44
PLANS Blr ! ' NAME -'� �w- �r�' o E
ESTIMATED IMPROVEMENT TOTAL VALUATION I COST): S •
DOLLARS
(2) EXCAVATION DATA. FOR OFFICE��:��� v Gro M N
0.04 X S____ = S____
STREET DESCRIPTION PROGRESS & INSPECTION STATUS_
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY`
_— TYPE LENGTH WIDTH DEPTH ITEM A QUANTITY _
_ STREET
-
CC C mv t.. I R TION
Q
lJ
ESTIMATED STREET OPENING DATE ------ E� / / S
ESTIMATED STREET CLOSING DATE: E
,,..ter :
(3) SECURITY NO. SECURITY AMT. S' 2 F.E T S I GrGO• LLOSED
SURETY CO.: - -_ FINAL
EU
CERTI FIED CHCK CASH BOND " INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS: —
FEATURES; EXCAVATION LOCATION AND EXTENT. `- W, WE;
L',**v C A vI i
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(5) NOTE THE CITY U IGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE 8'TATE OF OREGON,
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE PITY AND
EMPLOYEES AGAINST AN-INJURY OR DAMAGE IN H MAY RESULT FROM APPLICANTS ACTIONS.
1/
APPLICANTS SIGNATURE DATE __—
i
150
--- �. -
-
�11:Ti57` I�h y T/L 5602 T/L 5603
e e sPTil S 1 TIL 56 OOrt .
x , IM -3
T/L 9601 _ — i
�' M1H 5'2 � -} N-72 29 �'E ��
I' C, — x i l 2 71` _
_ .N. 30 35 -E
S. W." TiEQEMA AVE.
s�,+ T/L 70C T/L 701 r/C 60t
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MAIN B
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CITY OF TIGARQ A - 2 4NE
S. W. T IEDEMAN AVENUE Q + 00 T o a + 57
41-1 -t]r% ?"" N�H. SANITARY SEWER L fd N09-0
r n SLC Harris McMoq�AssocFatss MAIN B /�
y�:� i A a'^ @",S w Co�gCUl STREET O + 00 TO � _ 0 T
G 8 81 MAWID,oRf H 97723
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ( - a✓y11J.,` _—_
Date Requested_— s �L% _ Time A.M._ P.M.
Address _ I y� _ O/�--�»a Permit
Owner ILot #
Builder
The following Building Code deficiencies are required to be corrected:
------- -------------
t`
Presented to _ [+ proved
Inspector (/���/__- ____ ❑ Dieepp,oved
Date __ — -- -----
CALL, FOR RFUMPECTION
L 1 YF.S ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397 1
Tigard, Oregon 97223
Pho e: 639-4175
Type of Inspection ----
Date Requested Time A.M.--P.M.
Address ZY- 7 Permit
Owner Lot
BuilderThe following Building Code-d iei ncies are required to be corrected:
-- — - 4
Presented to Approved
Inspector __� � Disapproved
Date
CALL FQ&REINSPVTION
ES LINO
INSPECTION NOTICE �
City of Tigard Building Department
P.O. Bax 23397
Tigard, Oregon 97223
Phone: 639-4175
i
Type of Inspection `''! �
Date Requested ___
_1_�-� _ Time___-- A.M. P.M.
Address, �_�.___- . -_ Permit # __
Owner_ _�—._ Lot
LOF
Builder — —_ ------The following Building Code deficiencies are required to be corrected:
Presented to _ IJ-A-Pproved
Inspector __ —_ Disapproved
Date '55 �C� - — -
CALL, FOR Rh,INSPF,C770N
❑ YES f-] NO
i INSPECTION NOTICE
City of Tigard Building Departmen
l/" VV P.O. Box 23397
Tigard. Oregon 97223
Phone: 639,4175
Type O"fslfection _ v!✓l C
Date Requested ` Time l----A.M._ P.M.
Address y� Q���2G�c 1 Permit
Owner __ _ Lot # _
Builder _�1 __—. _l3�iZZ_--?8/« -�G Z� /LIUS•C,=
The following Building Code deficiencies are required to be corrected:
O
c;
Presented to _ __ ,44Approved
Inspector r•� _ — _. Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION W)TICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _? _34_ A.M._ P.M.
Address __ i% Z 1-Z—L ,� �,��y" Permit #LU
Owner._ ,____. .._ Lot #_
f'
Builder ------
The following Building Coude deficiencies are required to be corrected:
rz-
e
�— i.v�u�dic� LJ � •�
i
f•111�Y�IZhtr�'T J ----
Presented to __ ( Approvod
Inspector _ I I Disapproved
Date —
CALL FOR REINSPECTION
❑ YES 0 NO
'KIWI W1 W- W t�I W1 11F : ■
INSPECTION NOTICE �j.7'7 e'
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —
Date Requested `` Time A.M.___�_P.M.
Address � e -� �u yt Permit #-L!��—�
Owner Lot #
Builder — --- -- —The following Building Code deficiencies are required to be corrected:
I
t
Presented to — Approved
Inspector �_-__--- -_—_ ] Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P 0 Box 23397
Tigard, Oregon 97223
Phonp. 639-4175
- 01"
Type of Inspection
Date Requested— Z –aw-2 T�hne A. P.M.
Address // 2-9 z, Permit
Owner Lot
Builder 1z 11-1 ZI-2
The following Building Co4fp deficiencies are required to be corrected:
oe(
-7
Presented to
/I Approved
Inspector
sapproved
Date
CALL FOR-REINSPECTION
�ye8 0 NO
ol '
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested__ 2 Time "_ A, P.M.
Address ff .��/�a /_ice'���, Permit ��u�
Owner _—_ Lot #
BuilderG[ _-- --- –
The following Building Code deficiencies are required to be corrected:
LIL/
Presented to L, approved
Inspector ❑ Dlapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
CITYOF71GARDMASTER PERMIT
TWARD PERMIT N. . . . . . . c M'3T90 0i
COMMUNITY DEVELOPMENT DEPARTMENT MGM PRIM. PERMIT )f. : Mt)T9O--Oiw 2
13126 SW HWI BW. P.O.Box 23397,Tiyeld,Orpon 97223,j 1
`603�fGN4 76
. DATE ISSUED: 07/13/90
1 TE ADDRLSI�i. » 11742 SW TIE.DEVIAN ST PARCEL: 18135CC-00702
SUBDIVISION. . . . : 'ZC)NTNG—.
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
_.._....__....__.__.._..__......__._..___.. _._.._............_...._ _._.._._ ....
BUILDING _...__.__..._. ..._.._.__.._.... _... .__ _._____._... _._._.__ ..
REISSUE: DWELLING UNITSP I BASEMENT. . .. . . » » . :0 Sf
CLASS OF' WORK. r NEW E:+E:DRMS c 3 BA'T'HS 2 GORAGE. . . . . . . .. :420
TYPE: OF USE. . . cSF FLOUR AREAS- _._. ...._.... ___ REQUIRED SE:'T'BACI<S-__".......-_..._..._.......
TYW'E: or, CONST. 5N FIRST. . . . : 1610 s L.EFT. . 011 ft RIGHT. -,23 ft,
C)CCU"''ANCY GRP. cR3 SECOND. .. . .-O sf FRONT. :20 ft REAR. . c28 fit
STORIES. . . . .. .. . .. 1. THIRD. . . . c9 S RE.CII.JIRED_..__._....._._.._............._._....._._.__._..
FIE:IGHT. . . . . . . ,. : :LB ft TOTAL----•---••.-: IGIO sf SMOKE DETECTORS. :Y
FL.
" OOR L_OAD. . .. . :40 lar;f VALUE. . . . . $2 75180 PARKING SI'AC:ES. . :O
IiemarF%s v
_._._ _.._..__._..__.....__.. . ..__.._._...-_._._._._.._.-• PLUMBING _._...____..___..__....__.._....__.._...________._..__.._......_..__.___...._ .....
!:�3:NY.S. . . .. . .. .. .. . . c 1 F1_(:)OR DRAINS. . . . :H BACKFLOW PREVNTRS. » :0
I-AVA'T'ORIES. . . . . 02 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . .. . .. ..0
1UB/SH0WE I•iS. . . . 02 LAUNDRY TRAYS. . . 1,0 CATCH BASINS. . . . . . . :0
WA T'I: R CL-OSE::'T'S. . :2 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . .. .0
1)1SHWASHER i. . . . .. 1 WATER LINT: (t't) . :: 10(A OTHER FIXTURES. . . . . ..0
6ORBAGE. DISE•'. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . c l Sr:' RAIN DRAINS. . : J.
MEC:HANIC:AL, •-.._._..__._......_._._._.__.... _._._.._.___._...___.___ _. F"E:F:*S _- __...__._....._._....._....
[A.)E L TYPES....----_~~~ ~- UNI'T' HTRS. . :0 type amount by (Date rer.,p1,
%(:SAS/ / / VENTS . . . . . c O lIAYM $ 100. O0 JL1-1 (�f;/29/9O 202228
IIAX II'IPU'T0O B'T'U VENT FANS. . :3 EAPRT `k 3F 1. 00 / !
I URN < 1.O0K . . : 1 HO . :)S. . . . . . c l FPLC: 1; 234. 65
1 (.1RN )=:1001-'N . . -.0 WOODS'TOVE5. :O B51:'C 4� 1.8. 0 5 i !
F'I...00R F URN. . . . a O CLU DRYE=RS. : 1 STDG A; 600. 00
1:cO I L/CMF' < :3HP::0 0T'HE:R UN I TS:0 SSDC 375. 00
GAS OUTLETS: 1 PARK $ 250. 00 / 1
0 w n e r 0 -_.....__..._..._.....-__.._____._.._....._.....__....._...._.__.._....._...._.-.._.._ MPRT q, 36.00
KA017 HANS MPLC $ 9. O0
M5PC $ 1. 80 / !
145615 S 11,IRK RI) I:'PRT $ 1.1.7. 50
0RE:GON CITY OR 97045-•0000 P SF'C; 16 5. 88
G'hcaner "P 503-6,32-384C, PAYM ti 1.908. 88 .II_.H 07/1-3/90
(:r.)ntriAc:;tca r r, - - - --_.............._......_._._.___._...._.__.__.._.___..__
1 O0 T 7.. HANS
1. 5615 S KIRK RD
OREGON CITY OR 97045 0000
r,hc)ne li: 5O3-••632-3848
#. . r 3990:3 ......_.___........................_._._____.._______..__.._..__._.__._.._..
s 2O08. 88 TOTAL
This permit is issued subject to the regulations contained in the - -- REQUIRED INSPECTIONS
--- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fant/found Insp Mechanical Insp
applicable laws. All work will be done in accordance with approved Wtr P•roafing Psn) Plumb 'top Out;
plans. This permit will expire if work is not started within 189 Past/Beam 5trur•.:t F"•raminq Insp
1 days of issuance, or if Park is suspP.0104 s•-+ Past/Eceam Mechan Fi-replace Insp
• wl. Drrdi.n Gas Line Indo
f,ermittee Signatc.lre,: _.._lam !'�- �_..._. rl.-Al/c.ir►dsl at, T n s p Insulation Insp
FILM/Underfloor Gyp Boa-rd Insp
cc e d By: ..._.........._ F t n g D•r<a i n B s m l t Rain d•rain Insp
Call for in!sper,tion -•. 639--4175
CITYOFTIIFARD GL.'WER P1 CONNECTION ✓
CIf1fTNN . L-:RM I T
COMMUNITY DEVELOPMENT DEPARTMENT F #. . . . . . . . SWR90-0302
13126 SW HWI 8W. P.O.Box 2M97,TOW,oreqDn ri 11,i. P E R M I T 0- " 11!3 T9 0...0.2 4 i:.'
+:1. 7:1. DATE ISSUED: w7/13/90
sIrE ADDRESS—, :, :1. 1.742 SW TIEDr--A11()1N1 ;T
SUI?DIVISION. . . . PARCEL.- -1-S:1-,35C(.`----00/1'1,
ZONING:
.......... ...................
TENANT NAME.. . . .
USA NO. . . . . . . . . . ..42'341 1:' J X TUI`tE UNITS.
CLASS OF WORK. . .. -N1::':W Dwf-'LLING UNITS. . : 1
TYPE OF USE. '"SF, NO. OF BUILDINGS:1
INSTALL. TYP1--:.. . ,. . .-PUSWR IMPERV stjw-ACE. .
e ni a-r k 9
C
KOOT"Z HANS F- S
type ama(Allt by data (,ecpt
S KIRK RD PRMT $ 15o(3. 00
ORK:GON CITY OR 9704'5-0000 INGI-1 s 315. 00
503-632-3846 PAYM $ 1535-00 JLH 07/13/90
C'01"t-ractc)-r.-
CONTRACTOR NOT ON FI.L..r�-
[.1 1-1 c)1.1 e if
1535. 00 TOT-Al
RE(4UIRED 1145VIELTIONS
This Applicant agrees to comply with all the rules And regulations Sewer 111spertiorl
of the Unified Sewaye Agency. The permit expires 120 days from
the date issued. The total amount paid will be forfeited if the ........ ............
permit expires. The Agency does not guarantee the accuracy of the
side sever laterals. If the setter is not located at the measurement .............
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase ......
a "Tip and Side Sewer" Permit
Y Will insitall-fta
1"p-rilli.tter- si.giiatUre::: "541-1 ........ .........
Call fc:+r
........... .......
i.11sPe(`t-JC))-) 639-4175
I TY OF T I GARD - F'ECE I F'T OF PAYMENT RECEIPT NO. s 17C.)-202623
�ifJ,2�3
CHEC::l, AMOUNT s 7.44:1.FE+
h:FaP1f� a I•::AUT Z. HANE.. GASH AMOUNT r �'�'�'►�`
t '-T,PE5S s 145675 S. KI FT: `•`D PAYMENT DATE s +17i 131
SUBDIVISION
OREGON CITY. OF' 97(:)4!--, 1 l 7 4 2 900 T I E"'VEMAN
F'UPPOSE OF P'AYME'NT AMOUNT PAID F'IJF;POSE OF P'AYME: JT AMOUNT PAID
f.+U I l_D ING P'EE'M 361 .Ot") PLUMBING PERM l 17.'150 i
MECHANICAL.. PE 16. ()() '01' . BU I l_I:) F'f R 25.
PLAN CHER: FE:. 143.65 SE:.WES: USA 1!cj0.oo) �
SEWER INSPECT :fill. co'", STF EET SDC 6(:V5.Ot.)
i
PARKS sDC 250. 0co STORM L+RAlN SDC 375. 0f) I
f
I
i
I
TOTAL_ AMOUNT PAID - - 7-44:':.til E,
U
C17YOFTIGARD P� a� AP� ION
+J+25 SW.Nall Bred l
v.o.60.?�� PIAN CIiDQC
/ nga,d Oregon 97223 Pyr I .--
�5a��naaam
COMMUNITY DEVELOPMENT DEPARTMENT LATE ISSUED
Jai AtX1RF1S.S• TAX MAP/u7r /.S/ 1 y z
SUB: ; _ IAND tom:
VAIJI )N: Vis. -
MNEt RS L OF:
tIAME: Cj-Mr 11EISSSUE:
ALIX ESS: -
Fl" PUUNI
SFNSIM ?F IAM: _
I'tiCKE: TinoD
PZAr>rnrrc
NAM:
FMM DEVr
c' anm:
PIKE• � �- �7 7`i'F7+ii RF13[JII2Fn
B =ERS MMM ._ ',� EXPDAZE: E� / / FAZ I __--
f3U s TAX: -
J�I2CIi/FNGII1F31t ) ) (VICKI: --
NAY-r: `_� !S, / 71;M= DErAILS: v
mx)p�5S: ���
L
I'1 pNE: 77 775 —
Cq4MENTs: Al-
_ qt
SI1fYz7tJLRACPC2S: PIlI9B: `> P MDQ :
PFJWT I AOI.T DE'9C GYrICN mum AM3INT PD. BAL. DUE
I �r 10-432 00 Build!!-i La'zmit Fees
- r
10-,431 00 Plumbi-ng Poxmit Fees /7.
�� / � `° 3 4ov
-----—— 10-431 01 Mccdu-mi cal Permit Fees
10--230 01 stone Building Tax (5%)
Buildhig
Pl.wnbir g
10-433 00 Plans Check Fee
Building
Plumbing
Medi
1_k.-L301 30-202 00 sewer (mnec-'�tion ✓/�� / 3,"
30-444 00 Seer inspec-'tian
w -
51-448 00 Street SYstem Dev Charge (SDC) r
.S
52-449 00 Parks stem Dov Chatge (PDC) �
31-450 00 Strmn Drainage Syst Dev C" (SSD-)
�-_—
10-2-30 06 Fire --
WrAL,
RFC —
APPIIC AMr SIGVAII E - -
axx-Aved By: �. -_--- Date Received: -
ef/3587P.WPF TI,
GRADIN(ILROSION CONTROL INFORMATION
GE �CANTR cjTOjt Pd MEc ADDRESS: CASEFILE NO.:-
PERMIT
O._PERMIT NO.: _
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR —
NA}ME& ADDRES 1
OWNER NAME AND ADDRESS:
TELEPHONF NIJMB• _ .•/� -7 _
APPLICANT: <'-" r% /" -0 PROPERTY DESCRIP'll.ON:
OWNER` C^ �- s 7 J - �� STREET ADDRESS AND C!',OSS STREET/LOCATED
GENERAL CONTRACTOR: - —
EXCAVATION CONTRACTOR:
LEGAL DESCRIPTION:
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.:
C �'ERS� TITLE,TELEPHONE: 1/4 SECTION:
i, A SITE SIZE,ACRES:
77
DISTURBED/WORK AREA,ACRES__
LOCATION& ADDRESS WHERE,SPOILS
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAMS TO:(CIRCLE ONE)
(NOTE:PERMITS MAY BE.REQUIRED) CATCH-BASIL DITCI� PIPE CREEK
_ (CIRCLE ONE) .'PRIVATE PROPERTY
PUrdLIC RIGHT OF WAY
EROSION/SEDIMENTATION CONTROL (ESOT MEASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE.AND RESTORE TEMPORARY ESC.
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPFRATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER_
OTHER
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WTI'll"TECHNICAL GUIDANCE HANDBOOK".
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER, SCIMDULE/ST'AGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE STANDARD NOTES.
1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL.CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY I
To AlqA5EDIMrNT ON THE CONSTRIK-11ON SITE.
OWNER SIGNATURE APPLICANT SIGNATURE _
0M- (-:AL USE ONLY.
i
RECEIPT DATE
FEE NUMBER RECEIVED BY